Degenerative Spondylolisthesis.

Q Medicine
Theodore D Koreckij, Jeffrey S Fischgrund
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引用次数: 21

Abstract

Degenerative spondylolisthesis (DS) is one of the more commonly encountered spine conditions. The diagnosis of DS has changed little in the last 30 years. However, there has been an evolution in the treatment of this disease entity. There have been several landmark papers that helped govern our treatment. These helped serve as the basis for the treatment arms of the Spine Patient Outcomes Research Trial (SPORT), which offers the highest quality evidence to date. Although few would argue that the fusion of the diseased segment appears to offer the best and most durable results, treatment of this disease is best tailored to the individual. Fusion may offer the best results in the young active patient, but the same results may never become evident in the medically infirm patient. Laminectomy or unilateral laminoforaminotomy still plays a role in disease treatment. This review will focus on the diagnosis and the treatment of DS as well as discuss the author's preferred treatment of this disease.

退行性脊椎前移。
退行性椎体滑脱(DS)是一种较常见的脊柱疾病。在过去的30年里,退行性椎体滑移的诊断几乎没有变化。然而,对这种疾病的治疗已经有了新的进展。有几篇具有里程碑意义的论文帮助指导了我们的治疗。这些有助于作为脊柱患者结局研究试验(SPORT)治疗组的基础,该试验提供了迄今为止最高质量的证据。虽然很少有人会认为病变节段的融合似乎提供了最好和最持久的结果,但这种疾病的治疗最好是因人而异的。融合术可能在年轻活跃的患者中提供最好的结果,但同样的结果可能永远不会在身体虚弱的患者中变得明显。椎板切除术或单侧椎板间孔切开术仍在疾病治疗中发挥作用。本文就退行性椎体滑移的诊断和治疗作一综述,并讨论笔者对退行性椎体滑移的首选治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.16
自引率
0.00%
发文量
0
审稿时长
3 months
期刊介绍: Journal of Spinal Disorders & Techniques features peer-reviewed original articles on diagnosis, management, and surgery for spinal problems. Topics include degenerative disorders, spinal trauma, diagnostic anesthetic blocks, metastatic tumor spinal replacements, management of pain syndromes, and the use of imaging techniques in evaluating lumbar spine disorder. The journal also presents thoroughly documented case reports.
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